PDF(Pubmed)
Abstract：
UNASSIGNED: To help healthcare professionals (HCP) act with more confidence when communicating about approaching death, we sought to develop a communication model for HCP to facilitate conversations with dying patients and family caregivers (FC) in nonemergency situations.
UNASSIGNED: We used a four-phase integrative approach: (1) creation of a preliminary model based on a systematic literature review and expert knowledge, (2) review of the model draft by international palliative care experts, (3) review by key stakeholders, and (4) final appraisal by communication experts.
UNASSIGNED: After the clinical recognition of dying, the communication model provides a structure and practical communication aids for navigating the conversation based on three phases. It describes the content and relational level as core dimensions of effective conversations about approaching death and highlights the importance of HCP self-awareness and self-care when caring for the dying.
UNASSIGNED: Based on systematic involvement of key stakeholders, the model supports clinicians navigating challenging conversations about approaching death with dying patients and their FC successfully and with more confidence.
UNASSIGNED: This study expands the theoretical basis for communication about approaching death and offers a pragmatic model for educational interventions and clinical use.
UNASSIGNED: We used a four-phase integrative approach: (1) creation of a preliminary model based on a systematic literature review and expert knowledge, (2) review of the model draft by international palliative care experts, (3) review by key stakeholders, and (4) final appraisal by communication experts.
UNASSIGNED: After the clinical recognition of dying, the communication model provides a structure and practical communication aids for navigating the conversation based on three phases. It describes the content and relational level as core dimensions of effective conversations about approaching death and highlights the importance of HCP self-awareness and self-care when caring for the dying.
UNASSIGNED: Based on systematic involvement of key stakeholders, the model supports clinicians navigating challenging conversations about approaching death with dying patients and their FC successfully and with more confidence.
UNASSIGNED: This study expands the theoretical basis for communication about approaching death and offers a pragmatic model for educational interventions and clinical use.
摘要：
■为了帮助医疗保健专业人员（HCP）在传达有关死亡的信息时更加自信，我们寻求为HCP开发一种沟通模型,以促进非紧急情况下与垂死患者和家庭护理人员(FC)的对话.
■我们使用了四阶段综合方法：（1）基于系统的文献综述和专家知识创建初步模型，(2)国际姑息治疗专家对示范草案的审查，(3)关键利益相关者的审查，(4)沟通专家的最终评估。
■在临床识别死亡后，沟通模型为基于三个阶段的对话导航提供了结构和实用的沟通辅助工具。它将内容和关系水平描述为关于接近死亡的有效对话的核心维度，并强调了HCP自我意识和自我护理在照顾死者时的重要性。
■基于关键利益相关者的系统参与，该模型支持临床医生成功且更自信地浏览有关濒临死亡的患者及其FC的挑战性对话.
■这项研究扩展了有关接近死亡的交流的理论基础，并为教育干预和临床使用提供了实用的模型。
■我们使用了四阶段综合方法：（1）基于系统的文献综述和专家知识创建初步模型，(2)国际姑息治疗专家对示范草案的审查，(3)关键利益相关者的审查，(4)沟通专家的最终评估。
■在临床识别死亡后，沟通模型为基于三个阶段的对话导航提供了结构和实用的沟通辅助工具。它将内容和关系水平描述为关于接近死亡的有效对话的核心维度，并强调了HCP自我意识和自我护理在照顾死者时的重要性。
■基于关键利益相关者的系统参与，该模型支持临床医生成功且更自信地浏览有关濒临死亡的患者及其FC的挑战性对话.
■这项研究扩展了有关接近死亡的交流的理论基础，并为教育干预和临床使用提供了实用的模型。
